title: Study protocol: a systematic review of pediatric shared decision making.
abstract: BACKGROUND
  Shared decision making in pediatrics is unique because it often involves active participation of both the child or adolescent patient and his or her caregiver(s) in the decision making process with the clinician or care team, and the extent to which the patient is involved is commensurate with their developmental level. However, little is known about the nature of pediatric-specific shared decision making interventions and their impact.
  
  
  METHODS
  We will perform a systematic review with the objective of summarizing the nature of shared decision making practices, tools, techniques and technologies in the pediatric setting as well as their effects. A literature search will include Ovid MEDLINE, Ovid EMBASE, Ovid Cochrane Library, Web of Science, Scopus and Ovid PsycInfo databases in addition to consultation of a group of shared decision making experts to identify unpublished or in-progress works. We will include original research studies involving patients <18 years, their caregivers, or both, and summarize methods and approaches designed to engage participants in the health care decision making process with clinicians. Perinatal and research participation decisions will be excluded. Descriptions of participants involved, interventions used and the measured outcomes will be reported. Quality assessment will be performed according to the design of each study, where possible.
  
  
  CONCLUSIONS
  We anticipate that the paucity of published quantitative data and the heterogeneous nature of the reported results will preclude quantitative analysis. In this event, a meta-narrative approach will be undertaken.
  
  
  BACKGROUND
  PROSPERO registration number: CRD42013004761.
authors.affiliation: Knowledge and Evaluation Research (KER) Unit, Mayo Clinic, Rochester, MN 55905, USA.
authors.forename: Kirk D
authors.initials: KD
authors.lastname: Wyatt
authors.forename: Gabriela
authors.initials: G
authors.lastname: Prutsky Lopez
authors.forename: Juan Pablo
authors.initials: JP
authors.lastname: Domecq Garces
authors.forename: Patricia
authors.initials: P
authors.lastname: Erwin
authors.forename: William B
authors.initials: WB
authors.lastname: Brinkman
authors.forename: Victor M
authors.initials: VM
authors.lastname: Montori
authors.forename: Annie
authors.initials: A
authors.lastname: LeBlanc
mesh_terms: D000293:Adolescent; D017028:Caregivers; D002648:Child; D003657:Decision Making; D006801:Humans; D017063:Outcome Assessment, Health Care; D010290:Parents; D010358:Patient Participation; D010372:Pediatrics; D012107:Research Design; D000078202:Systematic Reviews as Topic